Organization Active NPI

Gencare Kids Ppec Plus Learning Center Melbourne, LLC

  • Medically Fragile Infants and Children Day Care
  • Melbourne, FL
National Provider Identifier
1669258455
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
Legal business name
GENCARE KIDS PPEC PLUS LEARNING CENTER MELBOURNE, LLC
Practice address
335 Pineda CT
Melbourne, FL 32940-6504
Phone
(888) 425-7732
Fax
(407) 440-2876
NPI assigned
Sep 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Olive Gaye, MBA
Title
President
Phone
(888) 425-7732

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Medically Fragile Infants and Children Day Care 261QM3000X Primary

Addresses

Primary practice location

335 Pineda CT
Melbourne, FL 32940-6504

Mailing address

335 Pineda CT
Melbourne, FL 32940-6504
Phone (888) 425-7732

Other names 1

  • GenCare Kids PPEC plus Learning Center Melbourne, LLC Other name

National Provider Directory

National Provider Directory

Locations

335 Pineda Ct
Melbourne, FL 32940
Phone (888) 425-7732

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1669258455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 PINEDA CT",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406504",
            "telephone_number": "888-425-7732",
            "fax_number": "407-440-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 PINEDA CT",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406504",
            "telephone_number": "888-425-7732",
            "fax_number": "407-440-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENCARE KIDS PPEC PLUS LEARNING CENTER MELBOURNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "GAYE",
        "authorized_official_first_name": "OLIVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-425-7732",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GenCare Kids PPEC plus Learning Center Melbourne, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GenCare Kids PPEC plus Learning Center Melbourne, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.